title: [Predict factors associated with malnutrition from patient generated subjective global assessment (PG-SGA) in head and neck cancer patients].
abstract: BACKGROUND
  Patient Generated Subjective Global Assessment (PG-SGA) is a validated tool for nutrition evaluation in patients with cancer.
  
  
  OBJECTIVE
  The aim of our study was to estimate the prevalence of malnutrition in head and neck cancer patients at diagnosis and evaluate the independent prognostic factors for malnutrition from PG-SGA.
  
  
  METHODS
  All outpatients attending at the Head and Neck Cancer Multidisciplinary Meeting for primary diagnosis, staging and treatment were evaluated by an oncology dietitian using the patient generated subjective global assessment (PG-SGA). Patients with recurrences or secondary tumours will be excluded.
  
  
  RESULTS
  64 patients were evaluated (55 men and 9 women) with an average age of 63 years and body mass index (BMI) of 25.3 kg/m(2) (SD ± 5.18). After the nutritional assessment we observed that 43.8% of patients were malnourished or at risk of malnutrition. The most frequent symptom at diagnosis was dysphagia (48.4%) and anorexia (26.6%). From PG-SGA, the main prognostic factors (p<0,001) were the percentage of weight loss, serum albumin levels, BMI and the presence of dysphagia or/and anorexia prior diagnosis.
  
  
  CONCLUSIONS
  Parameters as BMI, weight loss and low albumin levels at the time of diagnosis in head and neck cancer patients are independent predictors for malnutrition as well as the presence of anorexia or dysphagia.reaffirms the need for sustainability of interventions over time.
authors.affiliation: Unidad Funcional de Nutrición Clínica, Institut Català d Oncologia, L Hospitalet de Llobregat, Barcelona. larribas@iconcologia.net
authors.forename: L
authors.initials: L
authors.lastname: Arribas
authors.forename: L
authors.initials: L
authors.lastname: Hurtós
authors.forename: R
authors.initials: R
authors.lastname: Milà
authors.forename: E
authors.initials: E
authors.lastname: Fort
authors.forename: I
authors.initials: I
authors.lastname: Peiró
mesh_terms: D000855:Anorexia / Q000209:etiology; D015992:Body Mass Index; D003680:Deglutition Disorders / Q000209:etiology; D005260:Female; D006258:Head and Neck Neoplasms / Q000150:complications*; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000209:etiology*; D008875:Middle Aged; D009752:Nutritional Status; D011379:Prognosis; D015431:Weight Loss